苏丹东部卡萨拉医院2006 - 2009年子宫破裂的孕产妇及围产期结局

Maternal and perinatal outcomes of uterine rupture in the Kassala Hospital, east Sudan: 2006-2009.

作者信息

Ali A A, Adam I

机构信息

Faculty of Medicine, Kassala University, Kassala, Sudan.

出版信息

J Obstet Gynaecol. 2011;31(1):48-9. doi: 10.3109/01443615.2010.522268.

DOI:10.3109/01443615.2010.522268

PMID:21280993

Abstract

Medical files of patients with ruptured uterus during 2006-2009 at the Kassala Hospital, east Sudan were reviewed. Of 13,569 deliveries, there were 28 cases of ruptured uterus (two per 1,000 deliveries). The majority of these patients had parity ≥5 (53.5%), were illiterate (82.1%), rural residence (75%) and unbooked (92.8%). The identified causes of ruptured uterus were: obstructed labour (50%), previous caesarean section (32.1%). Caesarean hysterectomy was carried out in (39.3%), repair in (32.2%) and repair with tubal ligation in (28.5%). There was 14.3% and 92.8% maternal and perinatal mortality, respectively. A total of 21.4% and 7.14% developed sepsis and vesicovaginal fistulae, respectively.

摘要

对苏丹东部卡萨拉医院2006 - 2009年子宫破裂患者的病历进行了回顾。在13569例分娩中，有28例子宫破裂（每1000例分娩中有2例）。这些患者大多数经产次数≥5次（53.5%）、文盲（82.1%）、居住在农村（75%）且未登记预约（92.8%）。已确定的子宫破裂原因有：梗阻性分娩（50%）、既往剖宫产史（32.1%）。实施了剖宫产子宫切除术的占（39.3%），进行修补术的占（32.2%），进行修补术同时行输卵管结扎术的占（28.5%）。孕产妇死亡率和围产儿死亡率分别为14.3%和92.8%。分别有21.4%和7.14%的患者发生了败血症和膀胱阴道瘘。